CHAM STUDY GUIDE LATEST VERSION GRADED A+

CHAM STUDY GUIDE LATEST VERSION GRADED A+ What does the pre-encounter consist of? Customer Service Verification of Benefits Referral/Transfer of Services Scheduling Financial clearance Pre-registration Prior Authorization/Referral Requirement Customer Service Project lasting first impression Hiring right people Provide training Referral/Transfer of Services maintaining the continuum of care for the patient being transfered between facilities as well as intra/inter facility Scheduling Ensuring and special needs of the pt are available Efficient pt flow Efficient use of facility resource Provide patient education Proper identification of the patient Pre-Registration Streamline the Reg process Verification of insurance benefits Clarifying testing, pre-operative or procedure requirement Medical necessity checking Financial Clearance Assisting patient to meet healthcare obligation Education of the pt regarding their financial obligation for services rendered Assisting with the applicaton process for gov or charity program Regulatory Compliance ... EMTALA Definition Emergency Medical Treatment and Labor Act EMTALA Function Adhering to all contractual, legal and regulatory requirement as well as hospital regulation